CoChat
Sign Up
Cited by 527Child and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and AccessMental Health Research Topics

The DOI matches its Crossref record; 34 of the 35 references it cites were found in a registry or an index.

The prognosis of common mental disorders in adolescents: a 14-year prospective cohort study

Patton, George C, Coffey, Carolyn, Romaniuk, Helena, Mackinnon, Andrew, Carlin, John B, Degenhardt, Louisa, Olsson, Craig A, Moran, Paul·2014·The Lancet
DOI 10.1016/s0140-6736(13)62116-9
Open this paper in CoChat — free account

Abstract

Background Most adults with common mental disorders report their first symptoms before 24 years of age. Although adolescent anxiety and depression are frequent, little clarity exists about which syndromes persist into adulthood or resolve before then. In this report, we aim to describe the patterns and predictors of persistence into adulthood.Methods We recruited a stratified, random sample of 1943 adolescents from 44 secondary schools across the state of Victoria, Australia. Between August, 1992, and January, 2008, we assessed common mental disorder at five points in adolescence and three in young adulthood, commencing at a mean age of 15.5 years and ending at a mean age of 29.1 years. Adolescent disorders were defined on the Revised Clinical Interview Schedule (CIS-R) at five adolescent measurement points, with a primary cutoff score of 12 or higher representing a level at which a family doctor would be concerned. Secondary analyses addressed more severe disorders at a cutoff of 18 or higher.Findings 236 of 821 (29%; 95% CI 25-32) male participants and 498 of 929 (54%; 51-57) female participants reported high symptoms on the CIS-R (≥12) at least once during adolescence. Almost 60% (434/734) went on to report a further episode as a young adult. However, for adolescents with one episode of less than 6 months duration, just over half had no further common mental health disorder as a young adult. Longer duration of mental health disorders in adolescence was the strongest predictor of clear-cut young adult disorder (odds ratio [OR] for persistent young adult disorder vs none 3.16, 95% CI 1.86-5.37). Girls (2.12, 1.29-3.48) and adolescents with a background of parental separation or divorce (1.62, 1.03-2.53) also had a greater likelihood of having ongoing disorder into young adulthood than did those without such a background. Rates of adolescent onset disorder dropped sharply by the late 20s (0.57, 0.45-0.73), suggesting a further resolution for many patients whose symptoms had persisted into the early 20s.Interpretation Episodes of adolescent mental disorder often precede mental disorders in young adults. However, many such disorders, especially when brief in duration, are limited to the teenage years, with further symptom remission common in the late 20s. The resolution of many adolescent disorders gives reason for optimism that interventions that shorten the duration of episodes could prevent much morbidity later in life.Funding Australia's National Health and Medical Research Council.

Overview

Integrity signals

Registry

Crossref · 10.1016/s0140-6736(13)62116-9

Cites

34 of 34 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Show all 35 references

Cited by

Sorted by citations

Items 201–300 of 526

Related

See all

Metadata

Authors
Patton, G. C., Coffey, C., Romaniuk, H., Mackinnon, A., Carlin, J. B., Degenhardt, L., Olsson, C. A., & Moran, P.
Affiliations
  • Royal Children's Hospital (AU)
  • The University of Melbourne (AU)
  • King's College London (GB)
Corresponding author
Patton, George C
ORCID
Venue
The Lancet
Publisher
Elsevier BV
Published
2014-04
Volume
383
Issue
9926
Pages
1404-1411
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
DOI
10.1016/s0140-6736(13)62116-9
OpenAlex
W2160099057
Cited by
527
References
35
Citations by year
2026: 27 · 2025: 40 · 2024: 48 · 2023: 40 · 2022: 45 · 2021: 59 · 2020: 45 · 2019: 45 · 2018: 44 · 2017: 41 · 2016: 34 · 2015: 37 · 2014: 20
FWCI
52.07
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion)
  • Bristol Research (University of Bristol) (submittedVersion)
Funders
  • State Government of Victoria
  • National Health and Medical Research Council
  • National Medical Research Council
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords
common mental disorders, adolescent mental health, adolescent-onset depression, parental separation, sex differences, adolescent-onset psychosis, young adult mental health, family history of mental illness, parental mental illness, parental employment, parental income
MeSH terms
Adolescent, Adult, Mental Disorders, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Male, Prognosis, Prospective Studies, Risk Factors, Victoria, Young Adult

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review